MI RAN PARK

SAN JOSE, CA
NPI1992929616
Former NameMI RAN CHUN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A103558)
Additional Taxonomies261QP2300X Clinic/Center, Primary Care
(Licence: CA  A103558)
Enumeration Date2007-04-12
Last Update Date2013-11-21
Business Address
Dr. MI RAN PARK M.D.
5150 GRAVES AVE. SUITE 11B
SAN JOSE, CA 95129-5014
Phone number: 408-293-0800
Mailing Address
Dr. MI RAN PARK M.D.
5150 GRAVES AVE. SUITE 11B
SAN JOSE, CA 95129-5014
Phone number: 408-293-0800